29.06.2018 | Clinical Quiz
Persistent hypoglycemic attacks during hemodialysis sessions in an infant with congenital nephrotic syndrome: Answers
Erschienen in: Pediatric Nephrology | Ausgabe 1/2019
Einloggen, um Zugang zu erhaltenExcerpt
• Inborn error of metabolism
○ Glycogen storage diseases
○ Fatty acid oxidation disorders
○ Ketogenesis disorders
|
|
• Endocrine disorders
○ Hyperinsulinemia
○ Adrenal insufficiency
▪ Steroidogenesis disorders
▪ Adrenal damage
▪ Peroxisomal disorders
▪ Abnormal adrenal development
▪ Adrenal unresponsiveness to ACTH
○ Growth hormone deficiency
|
|
• Chronic kidney disease/hemodialysis associated
○ Malnutrition (depleted glycogen stores)
○ Low alanine/glutamine blood concentration
○ Cessation of enteral feeding
○ Carnitine deficiency
○ Catheter-related infections
|
|
• Others
○ Sepsis, shock
○ Liver dysfunction
○ Medication (beta-blocker, salicylates, steroid withdrawal)
|